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    Gastroplasty (gastric partitioning) creates a 30-mL fundic pouch, which is continuous with the distal stomach through a 6-mm stoma. Although the usual effect of fundoplication is to accelerate, rather than delay, gastric emptying, instances of gastroparesis have been described in 5% to 20% of patients following laparoscopic or open antireflux surgery. Symptoms of retention may result from either gastric, spastic, or retroperistaltic Roux limb motor abnormalities. • Delayed gastric emptying in association with fundoplication.

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